Re: DOL vs. HIPAA

2003-02-20 Thread David Ermer
Michele -- I am not aware of any HHS statement in the 12/28/2000 preamble to the effect that diagnosis information must be stripped from the EOB in order to achieve Privacy Rule compliance. I have quoted the relevant preamble statements below my signature. Although HHS has not issued any dictates

Nursing Homes and Ambulance Services

2003-02-20 Thread Kathy Findley
Title: Message Sorry if this has been covered before... but I keep hearing opposite interpretations. Are Nursing Homes and / or Ambulance Services considered Business Associates?   Thanks for any clarification! kf   Kathy Findley Coordinator - Information Services and HIPAA St. Joseph's Ho

Posting of the notice

2003-02-20 Thread Bentz-Miller, Judith
How is everyone addressing this in their clinics/hospitals/offices? It seems like a very easy task, but daunting at the same time. Thanks for the input! Judith Bentz-Miller Privacy Officer Arnett Clinic 765-448-8843 --- The WEDI SNIP listserv to which you are subscribed is not moderated. The

DOL vs. HIPAA

2003-02-20 Thread mseberl
Looking for some thoughts from all... HIPAA preamble references the ability to send EOBs to the subscriber containing member information as long as the diagnosis is stripped. We view this and felt as though this would extend to diagnosis description, procedure code and procedure description and h

Sharing information with clinic owned HMO

2003-02-20 Thread Bentz-Miller, Judith
I need some feedback regarding how others CEs are handling the following scenario: We are a clinic that has an HMO. Technically, it is a department of the clinic, but we have separate ourselves into two different CEs. In the past, we have allowed the HMO staff to have access to our database and

Mississippi

2003-02-20 Thread Rebekah Savoie
Okay, I have done direct e-mail and e-mail by way of list serv and never found out where the guy was getting his facts, but I will make these comment (my opinion and we all know what they say about opinions). 1. Experience does not always amount to expertise 2. Knowledge of the Subject Matter an

Re: Mississippi

2003-02-20 Thread Rebekah Savoie
I don't want the punishment information - I want to know where the information came from that MS has contracted with someone for $41K with little or no experience >>> "Donald LaBarre" <[EMAIL PROTECTED]> 02/20/03 01:40PM >>> "GENERAL REQUIREMENTS FOR ADOPTION OF STANDARDS "SEC. 1172. (a) APPLICABI

RE: Tracking for Accounting of Disclosures

2003-02-20 Thread Shelly Wilson
Yes. We are drafting them together and then tailoring them to each entity. >>> "Bentz-Miller, Judith" <[EMAIL PROTECTED]> 2/20/03 12:31:30 PM >>> So each of you will have your own NPP, policies, etc... You will track all separately? -Original Message- From: Shelly Wilson [mailto:[EMAIL P

RE: Tracking for Accounting of Disclosures

2003-02-20 Thread Bentz-Miller, Judith
So each of you will have your own NPP, policies, etc... You will track all separately? -Original Message- From: Shelly Wilson [mailto:[EMAIL PROTECTED]] Sent: Thursday, February 20, 2003 1:24 PM To: WEDI SNIP Privacy Workgroup List Subject: RE: Tracking for Accounting of Disclosures Our

RE: Tracking for Accounting of Disclosures

2003-02-20 Thread Shelly Wilson
Our organization has elected not to become affiliated at this time. Therefore, each entity will become responsible for tracking their own disclosures as well as responding to requests for restrictions. Unless you can purchase a tracking software, managing this would be very difficult and I am afr

Re: ASCA Small Provider Definition

2003-02-20 Thread Patricia Peyton
A "provider of services" is an "institutional" provider such as a hospital, nursing home, etc. A "facility or supplier other than a provider of services" could be a group practice, a durable medical equipment supplier, a pharmacy, etc. The solo practice physician or small group practice would

RE: "family" phone calls

2003-02-20 Thread David Ermer
Noel -- Good points (as usual). Let me make a few supplemental points: 1. § 164.510(b) concerns informal communications between a covered entity (CE) and family members, other relatives, close friends of the individuals (these folks may self-identify, particularly valuable in emergencies) and othe

RE: Fee for Access

2003-02-20 Thread Beth . Kranda
The regulation says the fee may be "reasonable" and "cost based" There is no way you can meet the test of these two requirements with a flat fee unless you plan to charge based on the cost of the smallest possible record - then it does not seem worth doing. cite 164.524(c)(4) My opinion BK -

Re: ASCA Small Provider Definition

2003-02-20 Thread Claudette Sikora
Dear Mr./Ms. Chang: We appreciate your interest in the ASCA legislation and its effect on the submission of Medicare claims. There will be an interim final rule with comment period defining the exceptions to the ASCA requirements that Medicare claims be submitted electronically. We do not ha

Re: Are we a CE

2003-02-20 Thread Doug Webb
Robin, Your office definiately is a Covered Entity.   That one electronic transaction that the billing service does on your behalf makes you so.  (Incidenteally, if you ever do an on-line check of eligibility or claim status, those actions would also make you a CE).   This means that you need